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Volume 3 Journal of Nursing Research and Practice Nursing and Heart 2019
April 22-23, 2019
Nursing Education and Evidence Based Practice Conference
Heart Conference
April 22-23, 2019 Dubai, UAE
World
4th International
&
Utilization of evidence-based practice in comparing the effectiveness of two opposing standards in
intravenous therapy
Amor B Calayan
Batangas Medical Center, Philippines
Aim: To compare the effectiveness of 72-hour routine peripheral venous catheter change and clinically-indicated replacement in
reducing the incidence rate of catheter-related complications.
Background: A current guideline recommended by the Center of Disease Control and Prevention (CDC) and Infusion Nurse Society
(INS) no longer braces the routine replacement of intravenous catheter as supported by various multi-centered and well-conducted
studies. Hence, the Association of Nursing Service Administrator of the Philippines (ANSAP) still follows the old concept.
Method: Randomized controlled trial was conducted in the medical ward of Batangas Medical Center for one-month period. Fifty
patients were selected and randomized into two groups, the control or routine replacement group and the intervention or clinically-
indicated group. The entire procedure from the initiation of peripheral venous catheter, care, site assessment based on phlebitis and
infiltration scale, removal and transport of catheter tip to the laboratory for semi-quantitative culture were handled by the nurse-
on-duty. Outcome variables were phlebitis, infiltration and catheter related infections. Results were presented using frequency and
percentage distribution and data were analyzed using chi-square of independence in order to answer the hypothesis of the study. All
data were treated using SPSS version 16 with 0.05 alpha level.
Results: Both groups had a low rate of phlebitis (8% or two cases in intervention/clinically indicated group and 12% or three cases
in control/routine replacement group). Infiltration was the common cause of catheter removal (36% or nine cases in intervention
group and 40% or 10 cases in control group. No incidence of catheter related bloodstream infections was reported. A chi-square test
of independence was performed to examine the difference in occurrence of infiltration and phlebitis between clinically indicated and
routine replacement group. Statistics implies that occurrence of phlebitis and infiltration does not differ between clinically indicated
and routine replacement group.
Conclusion: The study found no evidence to support changing catheter every 72 hours. Incidence rate of catheter-related complications
such as phlebitis, infiltration and catheter related infections did not increase during prolonged catheterization. The results of the study
substantiated with those in the international standards. This study is a scientific testament for the nursing administrators to revise the
existing guideline since the clinically-indicated replacement of intravenous catheter is a more precisely logical and pragmatic option
because it involves less pain to the patient, less staff procedural time, less equipment cost and less environmental waste.
Biography
Amor B Calayan, leader of Health CareAdministration, Nursing Education and other related services which ensures Safety and Quality Care, Management, Learning
and Development among Professional Nurses, undergraduates so as to other professions from various organizations and other clienteles requiring technical
knowledge and skills in Organizational Management, Human Resources, Research, Safety Management and Quality Improvement and other Administrative Skills,
a catalyst for the strong implementation of good governance and improvement of KSA of an individual in the profession in all aspects.
Amor B Calayan, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C3-008